The Montreal Cognitive Assessment (MoCA) is a rapid screening tool, including subtests to assess several cognitive domains, developed to detect MCI from normal ageing cognitive changes. Several validation and normative studies have conducted around the world considering the influences of age and education on the MoCA score, but none takes into account the lifestyle and habits. However, lifestyles, and particularly physical activity (PA) have been positively associated with both physical and mental health in elderly. The aim of the present study is to investigate the influence of regularly practiced PA on the MoCA scores in a sample of Italian healthy elderly males. For this purpose sixty-five healthy adult males, aged 65-81 years were assigned to two groups, physically active group (PAG, N=33), and sedentary group (SG, N=32), according to recommended levels of physical activity by the World Health Organization. The Italian version of MoCA was administered to each participant. Raw data were analysed by a multiple regression model in which the independent variables were PA, age and education. Results showed a highly significant influence of PA on MoCA total score and on several cognitive domain sub-scores. Furthermore, multiple regression analysis indicated a larger impact on scores by PA than both age and education. In the light of these findings, it is advisable to pay attention to the life style of subject that undergoing a neuropsychological evaluation like the MoCa and in particular the level of PA practiced, as well as age and education.

中文翻译：

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生活方式，体育活动和认知功能：对蒙特利尔认知评估（MoCa）分数的影响。

蒙特利尔认知评估（MoCA）是一种快速筛查工具，包括评估多个认知域的子测验，旨在检测正常的衰老认知变化中的MCI。考虑到年龄和教育程度对MoCA评分的影响，世界各地进行了一些验证和规范性研究，但没有一个考虑到生活方式和习惯。然而，生活方式，尤其是体育锻炼（PA）与老年人的身心健康都呈正相关。本研究的目的是调查在意大利健康的老年男性样本中定期练习的PA对MoCA评分的影响。为此目的，将65名65-81岁的健康成年男性分为两组，分别是体育锻炼组（PAG，N = 33）和久坐组（SG，N = 32），根据世界卫生组织建议的体育锻炼水平。每个参与者都使用了意大利语版的MoCA。通过多元回归模型分析原始数据，其中自变量为PA，年龄和教育程度。结果显示，PA对MoCA总分和几个认知域子得分具有非常显着的影响。此外，多元回归分析表明，与年龄和文化程度相比，PA对分数的影响更大。根据这些发现，建议注意接受神经心理学评估的受试者的生活方式，例如MoCa，尤其是所用PA的水平以及年龄和教育程度。通过多元回归模型分析原始数据，其中自变量为PA，年龄和教育程度。结果显示，PA对MoCA总分和几个认知域子得分具有非常显着的影响。此外，多元回归分析表明，与年龄和文化程度相比，PA对分数的影响更大。根据这些发现，建议注意接受神经心理学评估的受试者的生活方式，例如MoCa，尤其是所用PA的水平以及年龄和教育程度。通过多元回归模型分析原始数据，其中自变量为PA，年龄和教育程度。结果显示，PA对MoCA总分和几个认知域子得分具有非常显着的影响。此外，多元回归分析表明，与年龄和文化程度相比，PA对分数的影响更大。根据这些发现，建议注意接受神经心理学评估的受试者的生活方式，例如MoCa，尤其是所用PA的水平以及年龄和教育程度。多元回归分析表明，与年龄和文化程度相比，PA对分数的影响更大。根据这些发现，建议注意接受神经心理学评估的受试者的生活方式，例如MoCa，尤其是所用PA的水平以及年龄和教育程度。多元回归分析表明，与年龄和文化程度相比，PA对分数的影响更大。根据这些发现，建议注意接受神经心理学评估的受试者的生活方式，例如MoCa，尤其是所实行的PA水平，以及年龄和教育程度。